Fowler James A, Buckley Lisa, Muir Miranda, Viskovich Shelley, Paradisis Chris, Zanganeh Parnian, Dean Judith A
School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Faculty of Health and Behavioral Sciences, School of Psychology, The University of Queensland, Brisbane, Queensland, Australia.
J Clin Psychol. 2023 Nov;79(11):2685-2713. doi: 10.1002/jclp.23571. Epub 2023 Aug 2.
Digital mental health interventions are a promising therapeutic modality to provide psychological support to LGBTQIA+ (lesbian, gay, bisexual, trans, Queer, intersex, asexual, plus other gender, sexual, and romantic minority identities) people. The aim of this narrative review is to explore how the LGBTQIA+ community has been engaged in the design of digital mental health interventions, how content has been tailored to the LGBTQIA+ community, and features identified as important by LGBTQIA+ participants.
A total of 33 studies were included in this review from a larger yield of 1933 identified from systematic searches of five databases (PsycINFO, PubMed, Scopus, CINAHAL, and Medline). Data were analyzed narratively and using content analysis.
Only half of the studies reported engaging the LGBTQIA+ community in intervention designs. Interventions have been tailored in a variety of ways to support LGBTQIA+ individuals-such as through affirming imagery, recruitment through LGBTQIA+ networks, and designing content to focus specifically on LGBTQIA+ issues. A range of features were identified as important for participants, namely how content was tailored to LGBTQIA+ experiences, providing connection to community, and links to other relevant LGBTQIA+ resources. While not a primary aim, results also showed that a wide range of digital modalities can significantly improve a range of mental health problems.
Digital interventions are an acceptable and effective form of therapeutic intervention, but future research needs to focus on meaningful engagement of community members to inform design and implementation.
数字心理健康干预是一种很有前景的治疗方式，可为 LGBTQIA+（女同性恋、男同性恋、双性恋、跨性别者、酷儿、双性人、无性恋者以及其他性别、性取向和浪漫少数群体身份）人群提供心理支持。本叙述性综述的目的是探讨 LGBTQIA+ 群体如何参与数字心理健康干预的设计，内容如何针对 LGBTQIA+ 群体进行调整，以及 LGBTQIA+ 参与者认为重要的特征。
本综述共纳入了 33 项研究，这些研究来自对五个数据库（PsycINFO、PubMed、Scopus、CINAHL 和 Medline）进行系统检索后从 1933 项研究中筛选出的更大样本。采用叙述性分析和内容分析法对数据进行分析。
只有一半的研究报告称让 LGBTQIA+ 群体参与了干预设计。干预措施已通过多种方式进行调整，以支持 LGBTQIA+ 个体，例如通过肯定性的图像、通过 LGBTQIA+ 网络招募，以及设计专门关注 LGBTQIA+ 问题的内容。一系列特征被认为对参与者很重要，即内容如何根据 LGBTQIA+ 的经历进行调整、提供与社区的联系，以及与其他相关 LGBTQIA+ 资源的链接。虽然这不是主要目的，但结果还表明，广泛的数字模式可以显著改善一系列心理健康问题。
数字干预是一种可接受且有效的治疗干预形式，但未来的研究需要专注于让社区成员有意义地参与，以为设计和实施提供信息。
